Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.04 / $265.04 / $480.12	Facility		$265.04	$265.04	$480.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.58 / $265.04 / $859.43	Professional		$165.58	$265.04	$859.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $120.90 / $1,043.93	Professional		$120.90	$120.90	$1,043.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.48 / $729.75 / $1,119.45	Facility		$624.48	$729.75	$1,119.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.05 / $379.69 / $733.08	Professional		$115.05	$379.69	$733.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.58 / $265.04 / $645.90	Facility		$165.58	$265.04	$645.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.58 / $275.58 / $1,046.03	Facility		$165.58	$275.58	$1,046.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $285.67 / $1,397.94	Professional		$178.20	$285.67	$1,397.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $121.62 / $413.28	Professional		$61.39	$121.62	$413.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $165.58 / $265.04 / $645.90	Facility		$165.58	$265.04	$645.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $449.15 / $545.05 / $747.52	Professional		$449.15	$545.05	$747.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $440.58 / $1,046.03 / $1,046.03	Facility		$440.58	$1,046.03	$1,046.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $1,278.74 / $1,397.94	Professional		$110.15	$1,278.74	$1,397.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $397.17 / $397.17 / $456.49	Professional		$397.17	$397.17	$456.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $397.17 / $397.17 / $1,183.18	Professional		$397.17	$397.17	$1,183.18
United Facility/Professional Facility Modifier Low / Median / High Price $446.50 / $446.50 / $1,211.11	Facility		$446.50	$446.50	$1,211.11
United Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $222.75 / $663.68	Professional		$144.33	$222.75	$663.68